Such strongly marked effects on the health of the population have

followed in many places the complete cleansing of the streets, as are

stated by _Mr. Bland_, medical officer of the Macclesfield Union:—

“To show the value of police regulations in removing any improper

accumulations of foul, and putrid matter, where a deadly poison is

generated, I have a distinct recollection that, when the cholera

appeared in Macclesfield, not only was that fatal disease arrested

somewhat in its progress by the active vigilance exercised by the

gentlemen in seeing that in their several districts all offending

deposits were removed, and all pest-houses cleansed, that for several

months after the town had undergone this salutary inspection, and the

people made alive to the pernicious effects of the dunghill, fever of

the worst or contagious form scarcely appeared in the usual

localities, although it was at the autumnal season of the year. I

likewise noticed in spring-time following, when the filth had begun to

accumulate on the surface in certain parts of the town, a severe

return of contagious diseases, fever in all its stages, and a very

fatal epidemic small-pox.”

Similar cases were frequently noticed in the reports from Scotland; but

when the alarm passed away, the habitual neglect of this description of

cleanliness returned.

In the consideration of the evidence about to be submitted as to the

condition of the streets on the external condition of the residences of

the labouring classes, it should be borne in mind that the external

condition of the dwelling powerfully and immediately affects its

internal cleanliness and general economy.

The description of a large proportion of the streets inhabited by the

working classes in Manchester by Dr. Baron Howard, and those of Leeds by

Mr. Baker, those of Liverpool by Dr. Duncan, might be extended to

Glasgow and other places. _Dr. Howard_ states:—

“That the filthy and disgraceful state of many of the streets in these

densely populated and neglected parts of the town where the indigent

poor chiefly reside cannot fail to exercise a most baneful influence

over their health is an inference which experience has fully proved to

be well founded; and no fact is better established than that a large

proportion of the causes of fever which occur in Manchester originate

in these situations. Of the 182 patients admitted into the temporary

fever hospital in Balloon-street, 135 at least came from unpaved or

otherwise filthy streets, or from confined and dirty courts and

alleys. Many of the streets in which cases of fever are common are so

deep in mire, or so full of hollows and heaps of refuse that the

vehicle used for conveying the patients to the House of Recovery often

cannot be driven along them, and the patients are obliged to be

carried to it from considerable distances. Whole streets in these

quarters are unpaved and without drains or main-sewers, are worn into

deep ruts and holes, in which water constantly stagnates, and are so

covered with refuse and excrementitious matter as to be almost

impassable from depth of mud, and intolerable from stench. In the

narrow lanes, confined courts and alleys, leading from these, similar

nuisances exist, if possible, to a still greater extent; and as

ventilation is here more obstructed, their effects are still more

pernicious. In many of these places are to be seen privies in the most

disgusting state of filth, open cesspools, obstructed drains, ditches

full of stagnant water, dunghills, pigsties, &c., from which the most

abominable odours are emitted. But dwellings perhaps are still more

insalubrious in those cottages situated at the backs of the houses

fronting the street, the only entrance to which is through some

nameless narrow passage, converted generally, as if by common consent,

into a receptacle for ordure and the most offensive kinds of filth.

The doors of these hovels very commonly open upon the uncovered

cesspool, which receives the contents of the privy belonging to the

front house, and all the refuse cast out from it, as if it had been

designedly contrived to render them as loathsome and unhealthy as

possible. Surrounded on all sides by high walls, no current of air can

gain access to disperse or dilute the noxious effluvia, or disturb the

reeking atmosphere of these areas. Where there happens to be less

crowding, and any ground remains unbuilt upon, it is generally

undrained, contains pools of stagnant water, and is made a depôt for

dunghills and all kinds of filth.”

Of 687 streets, inspected by a voluntary association in that town, 248

were reported as being unpaved, 112 ill ventilated, 352 as containing

stagnant pools, heaps of refuse, ordure, &c.

“The state of some of the streets and courts examined was found by

tile inspectors abominable beyond description, and exhibited a

melancholy picture of the filthy condition and unwholesome atmosphere

in which a large portion of our poor are doomed to live.

“As an example I will extract the description given of Little Ireland

from the proceedings of the Special Board of Health, which I have been

permitted to examine through the kindness of the borough-reeve, John

Brooks, Esq.:—

“‘The undersigned having been deputed by the Special Board of Health

to inquire into the state of Little Ireland, begs to report that, in

some of the streets and courts abutting, the sewers are all in a most

wretched state, and quite inadequate to carry off the surface water,

not to mention the slops thrown down by the inhabitants in about 200

houses. The privies are in a most disgraceful state, inaccessible from

filth, and too few for the accommodation of the number of people, the

average number being two to 250 people. The upper rooms are, with few

exceptions, very dirty, and the cellars much worse, all damp, and some

occasionally overflowed. The cellars consist of two rooms on a floor,

each nine or ten feet square, some inhabited by ten persons, others by

more; in many the people have no beds, and keep each other warm by

close stowage on shavings, straw, &c.; a change of linen or clothes is

an exception to the common practice. Many of the back-rooms, where

they sleep, have no other means of ventilation than from the front

rooms. Some of the cellars on the lower ground were once filled up as

uninhabitable, but one is now occupied by a weaver, and he has stopped

up the drain with clay to prevent the water flowing from it into his

cellar, and mops up the water every morning.’

“The above description represents as faithfully the present state of

this place as it did its condition eight years ago. In addition to the

circumstances here mentioned, the unhealthiness of this spot is

further increased by its low and damp situation, in a deep hollow,

bounded on one side by a filthy and stinking brook, which readily

overflows after rain; on another, by a very steep embankment; and on

another, by a high wall, which separates it from the gas-works, and

surrounded moreover by numerous high factories. * * *

“In the open space in the centre, which was formerly uncovered,

numerous pigsties are now erected, which add, if possible, to its

insalubrity. All the streets on the west side of the square are

blocked up at the end by a high wall, so that each forms a

_cul-de-sac_, a mode of construction which precludes the possibility

of effectual ventilation. Close to this wall, at the upper end of

these streets, are placed filthy and dilapidated privies, with large

open cesspools, which are frequently full to overflowing. The present

condition of those in Bent and James Leigh-streets are disgusting and

offensive beyond description.”

_Mr. Baker_ in his report on the sanitary condition of the residences of

the labouring classes in Leeds, thus describes their external

condition:—

“The river Aire, which courses about a mile and a half through the

town, is liable suddenly to overflow from violent or continued rains,

or from the sudden thawing of heavy falls of snow. The lower parts and

dwellings, both in its vicinity and in that of the becks, are not

unfrequently therefore inundated; and as the depth of the cellars is

below the means of drainage, the water has to be pumped out by

hand-pumps on to the surface of the streets. In those parts of the

town, and particularly where the humbler classes reside, during these

inundations, and where there are small sewers, the water rises through

them into the cellars, creating miasmatic exhalations, and leaving

offensive refuse, exceedingly prejudicial to the health as well as to

the comfort of the inhabitants. It was stated, on the authority of one

of the registrars, that during a season remarkable for an

unprecedented continuation of hot weather, that in one of these

localities, the deaths were as three to two, while in other parts of

the town, at the same period, they were as two to three. The condition

of the Timble Bridge beck is doubtless much worse for drainage

purposes than formerly, for the bottom has been raised by continual

deposits, until the oldest water-wheel upon it has had to be removed

as useless and inoperative; and stepping-stones, once the means of

passage over it, are at this moment said to be buried under the

accumulation of years, as much as one or two feet in depth. It is

quite clear, therefore, that that which was once the main receptacle

for the drainage of an entire district is, in its present state, no

longer capable of fulfilling that purpose; and that though a

considerable amount of drainage might still be effected by it, yet,

unless emptied of its superfluous matter, it cannot now be made

available for the wants of the entire population on its course.

“In an inundation about the period of 1838 or 1839, which happened in

the night, this beck overflowed its boundaries so greatly, and

regurgitated so powerfully into petty drains communicating with houses

100 yards distant from its line, that many of the inhabitants were

floated in their beds, and fever to a large amount occurred from the

damp and exhalations which it occasioned. Of the 586 streets of Leeds,

68 only are paved by the town, _i. e._, by the local authorities; the

remainder are either paved by owners, or are partly paved, or are

totally unpaved, with the surfaces broken in every direction, and

ashes and filth of every description accumulated upon many of them. In

the manufacturing towns of England, most of which have enlarged with

great rapidity, the additions have been made without regard to either

the personal comfort of the inhabitants or the necessities which

congregation requires. To build the largest number of cottages on the

smallest allowable space seems to have been the original view of the

speculators, and the having the houses up and tenanted, the _ne plus

ultra_ of their desires. Thus neighbourhoods have arisen in which

there is neither water nor out-offices, nor any conveniences for the

absolute domestic wants of the occupiers. But more than this, the land

has been disposed of in so many small lots, to petty proprietors, who

have subsequently built at pleasure, both as to outward form and

inward ideas, that the streets present all sorts of incongruities in

the architecture; causeways dangerous on account of steps, cellar

windows without protection, here and there posts and rails, and

everywhere clothes-lines intersecting them, by which repeated

accidents have been occasioned. During the collection of the

statistical information by the Town Council, many cases of broken legs

by these unprotected cellars, and of horsemen dismounted by neglected

clothes-lines hanging across the streets, were recorded.

“It might be imagined that at least the streets over which the town

surveyors have a legal right to exercise control would be sewered. But

this is not the case; of the 68 streets which they superintend, 19 are

not sewered at all, and 10 are only partly so; nay, it is only within

the three or four years past that a sewer has been completed through

the main street for two of the most populous wards of the town,

embracing together a population of 30,540 persons, by which to carry

off the surface and drainage water of an elevation of 150 feet, where,

indeed, there could be no excuse for want of sufficient fall. I have

seen, in the neighbourhood to which I now refer, an attempt made to

drain the cottage houses into a small drain passing under the

causeway, and which afterwards had to be continued through a small

sewer, and through private property, by a circuitous route, in order

to reach its natural outlet, and the water from the surveyors’ drain

regurgitate into the cutting from the dwellings. It only needs to be

pointed out that the sewer which has subsequently been made, and is

most effective, is an evidence of the previous practicability of a

work so essential to the welfare of the people; but, I may add, that

many of the inhabitants of districts a little further distant from the

town, where fever is always rife, are yet obliged to use cesspools

which are constructed under their very doors, for the want of the

continuation of this desirable measure.

“Along the line of these two wards, and down the street which divides

them, and where this sewer has been recently made, numbers of streets

have been formed and houses erected without pavement, and hence

without surface drainage—without sewers—or if under drainage can be

called sewers, then with such as, becoming choked in a few months, are

even worse than if they were altogether without. The surface of these

streets is considerably elevated by accumulated ashes and filth,

untouched by any scavenger; they form nuclei of disease exhaled from a

thousand sources. Here and there stagnant water, and channels so

offensive that they have been declared to be unbearable, lie under the

doorways of the uncomplaining poor; and privies so laden with ashes

and excrementitious matter as to be unuseable prevail, till the

streets themselves become offensive from deposits of this description;

in short, there is generally pervading these localities a want of the

common conveniences of life.

“The courts and _culs-de-sac_ exist everywhere. The building of houses

back to back occasions this in a great measure. It is in fact part of

the economy of buildings that are to pay a good per centage. In one

_cul-de-sac_, in the town of Leeds, there are 34 houses, and in

ordinary times, there dwell in these houses 340 persons, or ten to

every house; but as these houses are many of them receiving houses for

itinerant labourers, during the periods of hay-time and harvest and

the fairs, at least twice that number are then here congregated. The

name of this place is the Boot and Shoe-yard, in Kirkgate, a location

from whence the Commissioners removed, in the days of the cholera, 75

cart-loads of manure, which had been untouched for years, and where

there now exists a surface of human excrement of very considerable

extent, to which these impure and unventilated dwellings are

additionally exposed. This property is said to pay the best annual

interest of any cottage property in the borough.”

_Mr. Shaw_, the medical officer of the Hindley district of the Wigan

union, after giving a similar description of the streets of that town,

adds:—

“The greater number of cases of fever in Tuce is in a great degree to

be accounted for from the extremely filthy state of those places where

it has been worst. Some of the cases were much worse than others,

several being of the malignant kind of typhus. Most of the cases

happened in Broom-street, in Tuce, a very uncleanly place, whole pools

of stagnant water, decayed animal and vegetable matter, and many other

nuisances of alike description lying in heaps from one end of the

street to the other. It is extremely probable a little attention to

these matters would save the inhabitants from many of the diseases

with which they are now continually affected.”

_Dr. Waite_, in his report on the condition of the population at Lynn,

states:—

“I have seen typhus fever rage in families, where the refuse of a

market-gardener was suffered to accumulate in a hole, immediately

before three or four houses, whilst families at fifty yards distant

from it were perfectly free.”

The report by _Mr. Anderson_, solicitor, on the sanitary condition of

Inverness, exhibits the external features of the condition in which

large proportions of the town population in Scotland are still allowed

to remain in respect to all these defects:—

“From the very open or porous character of the subsoil, the grounds in

and around Inverness are seldom retentive of surface-water; and as

there is also a considerable inclination of the plain towards the

river, a good _drainage_ could be easily procured from almost every

part of the town. With the exception, however, of the principal

streets or thoroughfares, in which the best houses and shops are

situated, there are but few covered common sewers; and in the suburbs

generally, and from all the side alleys and closes, rain-water and

other accumulations pass away only by means of surface or open drains.

Hence among the dwellings of the poorer classes _stagnant pools_ very

frequently occur, and the drainage in these places, naturally bad

enough, is often purposely obstructed by the people, for the purpose

of adding to their _dunghill_ heaps or middens, which, as manure for

their potatoe-grounds, form the chief treasures of the poorer

cottagers and labourers. A gas and water company, established some

years ago, has afforded a great increase of comfort and cleanliness to

the buildings along the main thoroughfares; but to the back closes and

suburbs such _luxuries_ have not yet been extended, and hence the want

of order, decency, and comfort are painfully observable among them.

_Water-closets_ and _public privies_ are both rare, the consequences

of which, morally as well as physically, may be easily imagined, and

no doubt much infectious disease, if not occasioned, is harboured and

perpetuated by the want of them. The disgusting state of all the

bye-lanes and roads about Inverness proves what the people must suffer

on this account.

“As already stated, the dwellings of the humbler classes are in

general only _one_ story high, that is, they consist of a ground-floor

divided into two or three small apartments, with two or three

garret-rooms in the roof above, which is covered externally with turf

or straw thatch. Such buildings are often intermixed with houses of a

better description, and from being but seldom painted or whitewashed,

they have not a cheerful nor cleanly aspect. Most of them are provided

with small back courts or gardens, in which a few common vegetables

are grown; but their principal value is as stances for _pig-houses_

and dunghills, which in many instances are improperly allowed to rest

upon or touch the dwelling-houses; while it is not to be disguised

that cases exist where the _pig_, the _horse_, and the _cow_ all live

under the same roof with their owners, and the manure allowed to

accumulate there also. It is very common for a labourer’s _family_ to

have only a single apartment, or a room and a closet, while one room

is the usual accommodation rented by single persons, and that

frequently without a particle of ground attached.

“Amidst such a combination of unwholesome circumstances, it is rather

wonderful that malignant fever does not very greatly prevail in this

town. It is scarcely ever entirely free of it, and occasionally it

breaks out in some of its most contagious and dangerous forms, such as

measles, scarlet and typhus fever, and sometimes even small-pox,

spreading upwards among all classes of the community. The writer is

strongly inclined to believe that the comparative healthiness of

Inverness, notwithstanding its low and undrained position, is owing

chiefly to the salubrity of its climate, as influenced by its

situation, and the natural porousness of the soil.”

_The Provost of Inverness_, at the time the report was made, gives the

following description of the town:—

“Inverness is a nice town, situated in a most beautiful country, and

with every facility for cleanliness and comfort. The people are,

generally speaking, a nice people, but their sufferance of nastiness

is past endurance. Contagious fever is seldom or ever absent; but for

many years it has seldom been rife in its pestiferous influence. The

people owe this more to the kindness of Almighty God than to any means

taken or observed for its prevention. There are very few houses in

town which can boast of either water-closet or privy, and only two or

three public privies in the better part of the place exist for the

great bulk of the inhabitants. Hence there is not a street, lane, or

approach to it that is not disgustingly defiled at all times, so much

so as to render the whole place an absolute nuisance. The _midden_ is

the chief object of the humble, and though enough of water for

purposes of cleanliness may be had by little trouble, still as the

ablutions are seldom, MUCH filth in-doors and out of doors _must_ be

their portion. When cholera prevailed in Inverness, it was more fatal

than in almost any other town of its population in Britain.”

Such is the absence of civic economy in some of our towns that their

condition in respect to cleanliness is almost as bad as that of an

encamped horde, or an undisciplined soldiery. Mr. Baker applies to Leeds

the observations made by Sir John Pringle in his Treatise on the

Diseases of the Army, but they are equally applicable to the districts

occupied by the labouring classes wherever this inquiry has been

carried:—

“‘The chief cause of dysentery appears to be the foul straw and the

privies; for as soon as we had left that ground on which we had been

long encamped the sickness visibly abated.’ And again he says, ‘The

greatest source of dysenteric affections appears to be the privies.’

And again, speaking of bad air as producing epidemics, he systematizes

the mediate agent thus; ‘1st, Marsh effluvia; 2ndly, Encampment near

trees; 3rdly, The privies and foul straw of a camp; and 4thly, A pent,

corrupt, and vitiated atmosphere.’”

The discipline of the army has advanced beyond the civic economy of the

towns. In the standing orders given and enforced by the late General

Crauford there are the following from Article 2, on the interior

regimental arrangements on arriving in camp or quarters:—

“It must be explained to the men, as a standing order, that when no

regular necessaries are made, nor any particular spot pointed out for

easing themselves, they are to go to the rear, at least 200 yards,

beyond the sentries of the rear guard; all men disobeying this order

must be punished.

“The captain of the day and the quarter-master under the commanding

officers, are particularly responsible for the cleanliness of the camp

of each regiment; and the field officer of the inlying piquet, who is

charged with the superintendence of the police, and cleanliness of the

camp or quarters of the brigade, will give such orders upon the

subject as may be necessary to the captain of the day.”

The towns whose population never change their encampment, have no such

care, and whilst the houses, streets, courts, lanes, and streams, are

polluted and rendered pestilential, the civic officers have generally

contented themselves with the most barbarous expedients, or sit still

amidst the pollution, with the resignation of Turkish fatalists, under

the supposed destiny of the prevalent ignorance, sloth, and filth.

Whilst such neglects are visited by the scourge of a regularly recurring

pestilence and ravages of death more severe than a war, it may be

confidently stated that the exercise of attention, care, and industry,

directed by science in their removal, will not only be attended by

exemptions from the pains of the visitation, but with exemptions from

pecuniary burdens, and with promise even of the profits of increased

production to the community.

This will appear from an examination of the present mode of removing the

refuse from towns, and contrasting it with improved methods; and first

with relation to the refuse of the houses:—

Report to Her Majesty's Principal Secretary of State For the Home Department, from the Poor Law Commissioners, on an Inquiry Into the Sanitary Condition of the Labouring Population of Great Britain; With Appendices · 第 8 / 65 段